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Ostomy/wound Management

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https://www.readbyqxmd.com/read/30212363/assessment-of-prelicensure-undergraduate-baccalaureate-nursing-students-ostomy-knowledge-skill-experiences-and-confidence-in-care
#1
Katherine Zimnicki, Barbara Pieper
Care of the patient with an ostomy is included in the curriculum of prelicensure nursing programs, but no studies examining student nurses' knowledge about stoma care have been published. The purpose of this project was to examine the ostomy knowledge, experiences, and confidence of nursing students in order to assess and improve the curriculum. At the end of the fall 2016 semester, students enrolled in 3 separate nursing courses in an undergraduate program were asked to participate in a project to examine students' ostomy knowledge, their experiences, and their confidence in providing care...
August 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30212362/the-role-of-topical-estrogen-phenytoin-and-silver-sulfadiazine-in-time-to-wound-healing-in-rats
#2
Mina Mirnezami, Hoda Rahimi, Hamidreza Ebrahimi Fakhar, Kourosh Rezaei
Many recent studies have focused on the potential role of topical agents in the wound healing process. To compare the time to healing of full-thickness wounds treated with topical estrogen, phenytoin, or silver sulfadiazine (SSD), an in vivo study was conducted using 32 male Wistar rats. Animals were housed individually in standard cages in similar environmental conditions, and a single, circular (4 mm in diameter), full-thickness skin wound was created on the dorsum of each rat. Animals were randomly divided into 4 groups of 8 rats each and treated with topical phenytoin, SSD, estrogen cream, or no treatment/control...
August 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30212361/using-bacterial-fluorescence-imaging-and-antimicrobial-stewardship-to-guide-wound-management-practices-a-case-series
#3
Rosemary Hill, Monique Y Rennie, Joshua Douglas
The urgent need to eliminate unnecessary use of antibiotics in wound patients has been hampered by diagnostic uncertainty and the time required to obtain culture results. The authors evaluated bedside use of a handheld bacterial fluorescence imaging device for real-time visualization of bacteria within and around wounds, used in addition to monitoring of clinical signs and symptoms of infection, in a series of 7 patients (5 women, 2 men; age range 57-93 years) with varying comorbidities who were referred to the wound ostomy continence clinician for wound assessment...
August 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30059337/printing-a-3-dimensional-patient-specific-splint-for-wound-immobilization-a-case-demonstration
#4
Po-Kuei Wu, Yu-Chung Shih, Chao-Ming Chen, Geng Chen, Wei-Ming Chen, Li-Ying Huang, Yu-Cheng Hung, Te-Han Wang, Wen-Chan Yu, Chin-Kang Chang, Bao-Chi Chang, Pei-Hsin Lin, Shyh-Jen Wang
Three-dimensional (3D) printing technology can generate objects in almost any shape and geometry. This technique also has clinical applications, such as the fabrication of specific devices based on a patient's anatomy. A demonstration study is presented of a 54-year-old man who needed a thermoplastic splint to limit arm movement while a dehisced left shoulder wound healed. The patient's upper extremity was scanned using the appropriate noncontact scanner and 3D technology software, and the polylactic acid splint was printed over the course of 66 hours...
July 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30059336/a-computer-modeling-study-to-assess-the-durability-of-prophylactic-dressings-subjected-to-moisture-in-biomechanical-pressure-injury-prevention
#5
Dafna Schwartz, Ayelet Levy, Amit Gefen
The sacral area is the most common site for pressure injuries (PIs) associated with prolonged supine bedrest. In previous studies, an anisotropic multilayer prophylactic dressing was found to reduce the incidence of PIs and redistribute pressure. The purpose of the current study was to further investigate relationships between design features and biomechanical efficacy of sacral prophylactic dressings. Using computer modeling, the anisotropic multilayer dressing and a hypothetical dressing with different mechanical properties were tested under dry and 3 levels of moist/wet conditions...
July 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30059335/a-descriptive-cross-sectional-study-among-chinese-patients-to-identify-factors-that-affect-psychosocial-adjustment-to-an-enterostomy
#6
Hongtao Xian, Yu Zhang, Yang Yang, Xiaoxue Zhang, Xinran Wang
Physiological, psychological, and social problems may affect adaptation to living with a stoma. A descriptive, cross-sectional study was conducted between March 2017 and June 2017 among patients culled from a manufacturer's database to identify factors that influence psychosocial adjustment in Chinese patients with an enterostoma. Patients with a history of ostomy surgery ≥1 month prior and who were ≥18 years of age, completed a primary school education, and able to communicate in Chinese were eligible to participate unless they had a history of psychosis, cognitive impairment, or participation in other research programs...
July 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30059346/adenocarcinoma-at-the-ileostomy-site-after-a-proctocolectomy-for-ulcerative-colitis-and-or-familial-adenomatous-polyposis-an-overview
#7
Samuel D James, Alexander T Hawkins, Amosy E M'Koma
Adenocarcinoma that occurs at the ileostomy site after proctocolectomy (TPC) with an end ileostomy for ulcerative colitis (UC) and/or familial adenomatous polyposis (FAP) is a late and uncommon complication. To ascertain the rate of adenocarcinoma at the empirical ileostomy site following TPC, a review of the literature was conducted. PubMed, MEDLINE, the Cumulative Index of Nursing and Allied Health Literature, EMBASE, Google search engine, and the Cochrane Database were investigated for research published between January 1975 and December 2016...
June 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30059345/a-descriptive-cross-sectional-study-to-assess-pressure-ulcer-knowledge-and-pressure-ulcer-prevention-attitudes-of-nurses-in-a-tertiary-health-institution-in-nigeria
#8
Deborah Tolulope Esan, Ayodeji Akinwande Fasoro, Elizabeth Funmilayo Ojo, Brenda Obialor
Globally, higher-than-expected pressure ulcer rates generally are considered a quality-of-care indicator. Nigeria currently has no national guidelines for pressure ulcer risk assessment, prevention, and treatment. A descriptive cross-sectional study was conducted to assess the pressure ulcer knowledge and the attitude of nurses regarding pressure ulcer prevention in a tertiary health institution in Nigeria. During a period of 2 months, nurses were recruited to complete a 25-item paper/pencil survey that included participant demographic information (6 items), pressure ulcer knowledge questions (11 items), and statements on participants' attitude toward pressure ulcer prevention (8 items)...
June 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/30059344/a-prospective-explorative-study-to-assess-adjustment-1-year-after-ostomy-surgery-among-swedish-patients
#9
Jeanette Fingren, Elisabet Lindholm, Charlotta Petersén, Anne-Marie Hallén, Eva Carlsson
Having ostomy surgery changes a person's life. To assess adjustment to life with an ostomy and quality of life (QOL) 1 year after ostomy surgery, a prospective, explorative study was conducted among patients of a stoma clinic at a university hospital in Sweden. All consecutive patients who had undergone nonemergent or emergency surgery involving formation of an ostomy and who received regular follow-up at the ward and at the outpatient clinic during the first year by an enterostomal therapist (ET) were prospectively included in the study; their demographic information (including age, gender, diagnosis/reason for an ostomy, nonemergent or emergency surgery, ostomy type, preoperative counselling/siting [Yes/No], self-sufficiency in stoma care, professional activity, and whether they lived with a spouse/partner) was recorded upon admission to the study...
June 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29847311/management-of-a-complex-lower-limb-open-fracture-in-a-teenage-patient-a-case-report
#10
Davor Mijatović, Sanda Smuđ Orehovec, Tomislav Đapić, Vilena Vrbanović Mijatović, Marko Mance
The challenges of managing Gustilo IIIB tibial fractures (ie, high energy trauma with a contaminated wound >10 cm in length, severe comminution ["crumbling"] or segmental fractures, and periosteal stripping) in children are unique in part because no clear guidelines exist and the injuries may cause short-term and long-term complications. Repeated wound debridement and secondary reconstruction are required in approximately 20% of these cases in both adults and children. A 13-year-old girl presented with severe polytrauma including an open Gustilo type IIIB fracture of the left lower leg...
May 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29847310/translation-and-validation-of-a-wound-specific-quality-of-life-instrument-the-wound-qol-in-a-swedish-population
#11
Ann-Mari Fagerdahl, Gunnar Bergström
Hard-to-heal wounds can compromise patient quality of life (QoL); thus, assessing QoL is an important aspect of wound management. The aim of this study, conducted from August 2015 to July 2016, was to translate a wound-specific instrument, the Wound-QoL, into the Swedish language and context and validate its ability to assess QoL in a population of patients with wounds of various etiologies. The Wound-QoL, derived from 3 existing wound care QoL instruments, is a paper-and-pencil tool comprised of 17 Likert-style questions addressing 3 categories (Body, Psyche, and Everyday Life) to provide a global score...
May 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29847309/a-meta-analysis-to-compare-four-layer-to-short-stretch-compression-bandaging-for-venous-leg-ulcer-healing
#12
Magali Rezende De Carvalho, Bruno Utzeri Peixoto, Isabelle Andrade Silveira, Beatriz G R Baptista de Oliveria
Compression therapy is the standard of care for venous leg ulcers (VLUs), and some evidence suggests 4-layer compression is more effective than short-stretch bandages. A meta-analysis was conducted to compare the effectiveness of these 2 compression bandages for venous ulcer healing. In March 2016, a systematic review of the literature was conducted to identify randomized controlled trials. Databases used included Pubmed/MEDLINE, EMBASE, Cochrane Central, the Cumulative Index of Nursing and Allied Health Literature, and the Latin American and Caribbean of Health Sciences Information System...
May 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29847308/a-cross-sectional-study-of-nutritional-status-diet-and-dietary-restrictions-among-persons-with-an-ileostomy-or-colostomy
#13
Ana Lívia de Oliveira, Ana Paula Boroni Moreira, Michele Pereira Netto, Isabel Cristina Gonçalves Leite
Little is known about the nutritional status and dietary habits of persons with an intestinal stoma, and no specific dietary guidelines have been established. A cross-sectional study was conducted among patients of a Stoma Patient Health Care Service in Juiz de Fora, Brazil, to compare the nutritional status of persons with an ileostomy or colostomy and to evaluate which foods are avoided most frequently and why. Anthropometric measurements (weight, height, arm circumference, and triceps and subscapular skinfold thickness) and body fat were assessed...
May 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29718817/a-rare-case-of-cutaneous-diffuse-large-b-cell-lymphoma-presenting-as-a-chronic-infectious-skin-ulcer
#14
Huapei Song, Yail Gong, Xiaochu Yan, Jiaping Zhang
Cutaneous diffuse large B-cell lymphoma (DLBCL) usually manifests as papules, nodules, or plaques. A rare case of a patient with a chronic skin ulcer and signs and symptoms of infection, including fever and large amounts of yellow wound exudate, is presented. Fifteen (15) months before diagnosis, a 43-year-old otherwise healthy man noted soreness without apparent cause in his upper chest and a palpable 2 cm x 2 cm focal lump. The patient developed frequent fevers, and the lump enlarged over time, producing purulent exudate...
April 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29718816/a-post-marketing-surveillance-study-of-chronic-wounds-treated-with-a-native-collagen-calcium-alginate-dressing
#15
Matthew Sabo, Lam Le, Raphael A Yaakov, Marissa Carter, Thomas E Serena
Chronic wounds (ie, wounds that fail to progress through a normal, orderly, timely sequence of repair) continue to pose significant clinical and economic burdens. A prospective, descriptive, 3-week post-marketing surveillance study was conducted across 3 wound care centers in the United States to evaluate the effectiveness of a collagen calcium alginate dressing on chronic wounds in conjunction with standard care (SC) practices (eg, offloading, debridement, compression) to support healing. Eligible participants had to be >18 years of age, have at least 1 chronic wound, and no known sensitivity to collagen...
April 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29718815/prevalence-of-skin-tears-in-elderly-patients-a-retrospective-chart-review-of-incidence-reports-in-6-long-term-care-facilities
#16
Joyce Hawk, Mary Shannon
The incidence and prevalence of skin tears in long-term care (LTC) facilities has not been well established. To ascertain the point prevalence of reported skin tears, a retrospective review of incident reports was performed in 6 LTC facilities in western Pennsylvania from November 1, 2016 through December 31, 2016. Report data, including resident age; gender; mobility limitations; skin tear location, number, and cause (if known); occurrence time (7 am to 3 pm, 3 pm to 11 pm, or 11 pm to 7 am nursing shift); and history of previous skin tears, were abstracted...
April 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29718814/a-retrospective-cohort-study-to-determine-predictive-factors-for-abdominal-wound-disruption-following-colorectal-surgery
#17
Mahir Gachabayov, Karen You, Ryan Sullivan, Roberto Bergamaschi
Abdominal wound disruption (AWD) is a postoperative complication that increases length of hospital stay, mortality, and cost. A retrospective cohort study was conducted to identify predictors of AWD, defined in the National Surgical Quality Improvement Program User Guide as a spontaneous reopening of a previously surgically closed (midline) wound that occurs within 30 days after index elective surgery in patients undergoing colorectal surgery. Data from the American College of Surgeons National Surgical Quality Improvement Program (2006-2012) were searched, supplemented by institutional review board-approved chart review...
April 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29584611/a-descriptive-retrospective-study-of-using-an-oblique-downward-design-gluteus-maximus-myocutaneous-flap-for-reconstruction-of-ischial-pressure-ulcers
#18
Chang-Yi Chou, Yu-Shan Sun, Yu-Jen Shih, Yuan-Sheng Tzeng, Shun-Cheng Chang, Niann-Tzyy Dai, Chin-Ta Lin
Despite advances in reconstruction techniques, ischial pressure ulcers continue to present a challenge for the plastic surgeon. The purpose of this retrospective study was to evaluate outcomes of using an oblique downward gluteus maximus myocutaneous (GMM) flap for coverage of grade IV ischial ulcers. Data regarding defect size, flap size, operation time, duration of wound healing, and surgical outcome were abstracted from the medical records of patients whose ischial pressure ulcers had been reconstructed using GMM island flaps between January 2010 and December 2015...
March 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29584610/a-quasi-experimental-study-to-explore-the-effect-of-barrier-cream-on-the-peristomal-skin-of-patients-with-a-tracheostomy
#19
Turkan Karaca, Fatoș Korkmaz
Peristomal skin problems represent one of the most common complications of a tracheostomy. A quasi-experimental study was conducted among patients ages 18 to 65 years hospitalized in a Turkish university hospital ear-nose-throat clinic between August 15, 2013, and December 15, 2013, to compare the effect of using or not using a barrier cream on the peristomal skin with regard to pH, moisture, temperature, color, odor, turgor, infections, and lesions after tracheostomy surgery. Patients were selected using a purposeful sampling method and included if they had not undergone another operation for a complication (eg, pneumothorax, tube misplacement, hemorrhage) within 24 hours following the tracheostomy operation...
March 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29584609/a-scoping-review-of-the-use-of-silver-impregnated-dressings-for-the-treatment-of-chronic-wounds
#20
Jimena Rodriguez-Arguello, Karin Lienhard, Pooja Patel, Rose Geransar, Ranjani Somayaji, Laurie Parsons, John Conly, Chester Ho
Topical silver agents and dressings are used to control infection and promote healing in chronic wounds, but reviews published from 2006 to 2011 found heterogeneous results regarding their effectiveness. A scoping review was conducted to examine the extent, range, and nature of research activity surrounding chronic wound care that employed silver-impregnated dressings; identify research gaps in the existing literature; and summarize the evidence to provide recommendations for future clinical studies. Ten (10) electronic databases and additional sources were screened from their inception to May 2016; search terms for the different databases included but were not limited to silver, chronic, complications, wound, ulcer, and sore...
March 2018: Ostomy/wound Management
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